Provider Demographics
NPI:1528583879
Name:THRIVE FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:THRIVE FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:704-516-2394
Mailing Address - Street 1:347 WINDY PINE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WYLIE
Mailing Address - State:SC
Mailing Address - Zip Code:29710-8120
Mailing Address - Country:US
Mailing Address - Phone:704-516-2394
Mailing Address - Fax:704-919-5079
Practice Address - Street 1:347 WINDY PINE DR
Practice Address - Street 2:
Practice Address - City:LAKE WYLIE
Practice Address - State:SC
Practice Address - Zip Code:29710-8120
Practice Address - Country:US
Practice Address - Phone:704-516-2394
Practice Address - Fax:704-919-5079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty